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K-12 educators often face the dilemma of how to respond to a student who makes a threatening statement. They must decide whether the threat is credible and the student poses a real danger, as well as how to respond to keep everyone safe. In such situations, a team of professionals often does a "safety assessment" to learn more about this student and evaluate how credible the threat is. The authors describe an approach many schools use for such an assessment (The Virginia Student Model for Threat Assessment Guidelines). Drawing on research with students who have undergone a safety assessment (and their families), they recommend ways to do the assessment that will keep the school safe and address the underlying problems of the student making the threat.

The Internet has become an increasingly important part of teen culture; however, there still remains little in the medical/psychiatric literature pertaining to the impact of the Internet on adolescent development. Despite the potential problems associated with communication online, the Internet offers a variety of positive opportunities for teens. In this report, we present a case study that illustrates the Internet as a helpful tool in a 15-year-old adolescent boy with a history of chronic neurological illness accompanied by refractory psychosis. Although the case emphasizes some of the ways in which the Internet may have a positive impact on adolescent development, further research is indicated to evaluate the contexts in which the Internet serves healthy developmental processes and those in which its influence is potentially deleterious. J. Am. Acad. Child Adolesc. Psychiatry, 2005;44(2):187-190. Key Words: Internet, developmental.

Describes the expanded school mental health (ESMH) programs that have developed over the past decade. These programs augment existing services provided by schools and help assure that a comprehensive range of services (assessment, prevention, case management, and treatment) are available to youth in special and regular education. Shares experiences associated with the growth of ESMH programs in Baltimore. (Author/JDM)

Collaboration of mental-health professionals from different disciplines with each other and with health and educational staff is essential for school health-service delivery. The paper discusses each profession's role in providing school-based mental-health services, noting training requirements within each discipline related to school mental health. Barriers to effective interdisciplinary collaboration and methods for overcoming them are delineated. (SM)

Abstract: Adolescent pregnancy and the babies of teen mothers have been a focus of attention and concern for many years. The literature on the health of pregnant and parenting teens, however, is largely silent about the impact of stigma on them and their children. Stigma is a pervasive cultural attitude, which leads us to overlook potentially good outcomes for this vulnerable population and contributes to poor outcomes for these mothers and babies. Stigma is a cause of stress leading to well-known adverse effects on health and development for both mothers and babies. This article reviews manifestations of social stigma in our communities, in the offices of professionals, and in policies that embed bias in our social systems. The impact of inequity has been vividly revealed over the course of the global pandemic. We review findings related to interventions associated with better outcomes and offer suggestions for more humane care and policies. [ABSTRACT FROM AUTHOR]